Apparatus for cooling surfaces

Abstract: In methods and apparatus for cooling surfaces, a pressurized liquid refrigerant is dispensed through a shaped member composed of an open celled foam. The method is particularly useful for localized freezing of a wart or other growth prior to its removal from skin of a human being or another animal.

Description: BACKGROUND OF THE INVENTION Field of the Invention This invention relates to apparatus for cooling surfaces by evaporating a liquid refrigerant. Introduction to the Invention It is well known to produce a cooling effect by the evaporation of a liquid. A recent and particularly valuable therapeutic use of this effect is to provide localized freezing of a part of a human or animal body, e.g. in order to remove a wart or other growth. In this use, a refrigerant is maintained under pressure in a can and is dispensed, via a valve and an outlet tube, through a cotton wool bud which surrounds the discharge end of the outlet tube and which is placed on or near the site to be treated. Details of that method and of apparatus for use in that method are disclosed in U.S. Patent No. 4,865,028 (Swart). Document GB-A-1 415 914 discloses pellets composed of an open celled foam onto which a freezing agent is sprayed. SUMMARY OF THE INVENTION In use of the invention described in U.S. Patent No. 4,865,028, it has been found that the rate of evaporation (and, therefore, the rate of cooling) can be dependent on the pressure between the cotton bud and the skin; in particular, if the pressure is too great, the rate of cooling is adversely affected. It has also been found that it is difficult to obtain good results when precise placement of the cotton bud is needed, e.g. for small warts; and when the treatment site is difficult to reach; and when the treatment site is large. I have discovered that improved results can be obtained, and in particular that the foregoing problems can be mitigated, by dispensing the liquid refrigerant through a shaped member which is composed of an open celled foam. Especially good results are obtained when the shaped member is hollow, thus providing an expansion chamber and reservoir for the refrigerant; the reservoir preferably contains a permeable and absorbent material, e.g. cotton wool. In one preferred aspect the present invention provides an assembly for dispensing a liquid refrigerant, said assembly comprising (1) a container which (a) includes a valve having an inlet and an outlet, and (b) is sealed except for the valve; (2) a liquid refrigerant which (a) is contained under pressure within the container and (b) has a boiling point at atmospheric pressure of less than 0°C; (3) a feed tube which has (a) a first end within the refrigerant, and (b) a second end which communicates with the inlet of the valve; (4) an outlet tube which has (a) a first end which communicates with the outlet of the valve, and (b) a discharge end; (5) a dispensing head which (a) comprises a shaped member, and (b) is secured to the discharge end of the outlet tube characterized by the shaped member being composed of an open celled foam and the dispensing head being secured to the discharge end so that, when the valve is open, the liquid refrigerant is dispensed through the open celled foam. In another preferred aspect, the present invention provides an applicator for dispensing a liquid refrigerant, said applicator comprising (1) an outlet tube which has (a) a first end, and (b) a discharge end; (2) a dispensing head which (a) comprises a shaped member, and (b) is secured to the discharge end of the outlet tube characterized by the shaped member being composed of an open celled foam and the dispensing head being secured to the discharge end so that a liquid refrigerant supplied under pressure to the first end of the outlet tube is dispensed through the open celled foam. BRIEF DESCRIPTION OF THE DRAWING This invention is illustrated in the accompanying drawings, in which Figure 1 is a diagrammatic cross-section through an assembly of the invention being used to freeze a wart; and Figures 2 to 6 are diagrammatic partial cross-sections through applicators of the invention. DETAILED DESCRIPTION OF THE INVENTION Open celled foam materials are well known and those skilled in the art will have no difficulty, after consideration of the disclosure in this specification, in selecting open celled foams which are suitable for use in this invention. The open celled foam is preferably composed of a foamed synthetic organic polymer which does not react chemically with the refrigerant and which has suitable physical properties throughout the range of temperatures to which it is exposed in the method, e.g. -20°C to 25°C. The foam is preferably flexible at 15-25°C, so that the dispensing head can be easily fitted over the outlet tube before being secured thereto. An elongation of 200 to 500%, particularly 300-400%, at 20°C (as measured by ISO 1798) is preferred. As the temperature is reduced, the flexibility of the foam will decrease, and this is desirable because compression of the foam in use will reduce the cooling effect. However, in some cases, it is desirable for the foam to remain relatively flexible while the refrigerant is being dispensed, e.g. at -20 to 0°C, so that the foam can be pushed against the surface to be cooled and will conform to that surface without inelastic crushing of the open cell structure; this is in general desirable when a relatively large surface is to be cooled. In other cases, it is desirable for the foam to be relatively stiff when cooled by evaporation of the refrigerant; this is in general desirable when the dispensing cap must be precisely positioned. The less the deformation of the foam while the refrigerant is being dispensed, the less the variation in the rate at which the refrigerant is dispensed (and, therefore, in the rate of cooling). The density of the foam is preferably less than 60, particularly 10-40, especially 12-35 kg/m 3 , and I have obtained particularly good results with a foam of density about 26-32 kg/m 3 . The size of the pores is preferably 5 to 50, particularly 20-40, e.g. 30-40, especially 27-32, pores/cm, as measured by ISO 45.2444. Especially when there is a space between the foam member and the discharge tube and that space contains a permeable and absorbent material, the foams which can be used include the so-called reticulated foams. Reticulated foams are available from Recticel S.A., Belgium. Often they have a high porosity, e.g. greater than 90%. It is believed that they are made by a process which involves an explosive reaction in a closed vessel in the presence of oxygen and hydrogen. Suitable polymers for use as foams in the present invention include polyesters, polyethers, and polyurethanes, particularly polyester-based polyurethanes. Preferably the foam is composed of a polymer which is wetted by the liquid refrigerant, since this appears to result in a lower temperature and/or a longer effective treatment time. Another important factor in selecting the foam is the need to secure it to the outlet tube. Preferably the foam is secured to the outlet tube by ultrasonic welding or another method of heat-sealing. Foams having a pore size of 20-40 pores/cm can generally be ultrasonically welded. Alternatively the foam can be glued to the outlet tube, and this often yields better results when the pore size is less, e.g. 2-5 pores/cm. I have obtained particularly good results using a foam supplied by Applimed SA of Chatel St. Denis, Switzerland, under the trade name Filterfoam PPI80. The Technical Information Sheet provided by the supplier gives the following information for Filterfoam PPI80. Polymer Polyester-based polyurethane Structure All open cells, 65-85 pores/inch (25.6-33.5 pores/cm) (ISO 45.2441) Weight 26-32 kg/m 3 (ISO 1855/71) Elongation Minimum 200% (ISO R1798/71), typically 300-400% Rest of Pressure Deformation About 6% Compression resistance 2-4 kPa Tensile strength At least 200 kPa Temperature limits -20°C to +100°C Free of precipitation yes Resistant to mineral oil yes Color Cream The open celled foam can be in any shape which is appropriate to the way it is to be used. Thus a user of this invention can have available to him or her a variety of dispensers having different dispensing heads and can select a dispenser appropriate to any particular situation. The exterior surface of the open celled foam member is preferably also the exterior surface of the dispensing head. However, part or all of the foam member can be covered by a different material. Preferably, the exterior surface of the shaped foam is rotationally symmetrical about an axis which is also the axis of the outlet tube, and has a length which is 1.5 to 5 times, particularly 2.0 to 4 times, its maximum diameter. For example, the exterior surface can comprise a base portion whose shape corresponds to, but is slightly larger than, the outlet tube; a center portion whose shape is generally similar to the shape of the outlet tube but at least a part of which is substantially larger in diameter than the base portion; and a tip portion which provides a smoothly curved or substantially flat transverse surface, substantially at right angles to the axis of the outlet tube. The diameter of the tip is generally 1.5 to 15 mm, preferably 1.75 to 12 mm. Generally, the larger the diameter of the tip, the deeper the cooling effect on the surface. In one embodiment, the center portion increases in diameter above the base portion (e.g. at an angle of 15-45° to the axis) to a maximum value which is 2.5 to 7.5 times, preferably 3 to 5 times, the external diameter of the outlet tube, and then maintains a regular cylindrical shape, and the tip portion provides a substantially flat or smoothly curved transverse surface, e.g. a surface which is a part of a sphere. In this embodiment, the diameter of the tip is for example 4 to 8 mm. In a similar embodiment, the regular cylindrical part of the center portion is not present, the center portion increasing in diameter slowly until the tip portion is reached. In this embodiment, the diameter of the tip is for example 7 to 12 mm. In another embodiment, the center portion increases in diameter above the base portion (e.g. at an angle of 15-45° to the axis) to a maximum value which is 2.5 to 7.5 times, preferably 3 to 5 times, the external diameter of the outlet tube, and then tapers inwards again (e.g. at an angle of 15-45° to the axis) to a minimum diameter which is 0.5 to 1.5 times the external diameter of the outlet tube; and the tip portion provides a substantially flat or smoothly curved transverse surface. In this embodiment, the diameter of the tip is for example 1.5 to 4 mm. The overall axial length of the foam member is generally 10 to 35 mm, preferably 15 to 30 mm, e.g. 17 to 25 mm. Preferably the shaped foam is hollow so that it fits over the discharge end of the outlet tube so that there is a space between the foam and the discharge end. The internal surface of such a shaped foam member defines an internal cavity having a proximal end portion and a distal end portion. The proximal end portion of the cavity fits snugly over the outlet tube near the discharge end thereof, and is secured to the outlet tube. The distal portion of the cavity extends beyond the discharge end of the outlet tube. Preferably the cavity also has a center portion which surrounds the end portion of the outlet tube and is spaced apart from the outlet tube. The cavity is generally rotationally symmetrical about an axis which is also the axis of the outlet tube. The axial length of the proximal portion is preferably at least 0.75 times, particularly at least 1.2 times, e.g. 1.5 to 3 times, the external diameter of the outlet tube, so as to ensure a secure connection between the supply tube and the dispensing head. This length will generally be 2 to 12 mm, preferably 3 to 8 mm, particularly 4 to 7 mm. The axial length of the center portion of the cavity (when present) is preferably 2 to 10 times, particularly 3 to 6 times, especially 3 to 4 times, the external diameter of the outlet tube. This length will generally be 3 to 18 mm, preferably 6 to 15 mm, particularly 8 to 13 mm. The axial length of the distal portion of the cavity is preferably at least 0.4 times, particularly 0.5 to 2 times, the external diameter of the outlet tube. This length will generally be 1.5 to 8 mm, preferably 2 to 6 mm, particularly 2.5 to 5 mm. The total axial length of the central portion and the distal portion is preferably 2 to 10 times, particularly 3 to 7 times, the external diameter of the outlet tube. The volume of the internal cavity of the dispensing head which is not occupied by the outlet tube, expressed in mm 3 , is preferably 15 to 40 times, particularly 20 to 30 times, the cross-sectional area of the outlet tube, expressed in mm 2 and calculated on the external diameter of the outlet tube, i.e. the volume is preferably 15πD 2 /4 to 40πD 2 /4, particularly 20πD 2 /4 to 30πD 2 /4, mm 3 , where D is the external diameter of the outlet tube in mm. This volume will generally be 60 to 200 mm 3 , preferably 80 to 150 mm 3 . When the invention is being used, the foam member is subject to internal pressure from the refrigerant and may be subject to external pressure when pressed against the surface which is being cooled. The wall thickness of the foam member should be selected accordingly. Generally, the wall thickness of the foam member, in the portions through which the refrigerant is dispensed, is at least 0.5 mm, preferably at least 0.75 mm, but less than 5 mm, preferably less than 4 mm, e.g. 3-4 mm. The wall thickness can vary from place to place, and is generally greatest opposite the orifice of the outlet tube, e.g. at least 1.5 mm. I have found that when (as is preferred) there is a space between the outlet tube and the dispensing head, a yet further improvement in results can be obtained by filling at least part of that space with a suitable permeable and absorbent solid material. The material modifies and controls the pressure and flow of the refrigerant to the interior surface of the foam member so that the cooling effect is more uniform and more reproducible. I have obtained excellent results using cotton wool as the permeable and absorbent material, for example cotton wool in the form of a bud secured to the top of a hollow tube; in some cases, excellent results can be obtained using the absorbent cotton wool-tipped tubes which are commercially available. However, other materials, including other non-woven fibrous cellulosic or non-cellulosic materials could also be used. The use of the term "absorbent" is not intended to imply that there is any chemical interaction between the material and the refrigerant. The presence of the cotton wool or other permeable material can also improve the physical strength of the dispenser. The shaped foam member can be sealed around the cotton wool, which thus provides a better connection between the foam member and the outlet tube. The outlet tube to which the dispensing head is secured can be made of any suitable material, e.g. polypropylene, and can be of any suitable dimensions, e.g. an external diameter of 2 to 4 mm, preferably 2.25 to 2.75 mm, a wall thickness of 0.15 to 0.4 mm, preferably 0.2 to 0.3 mm. For most uses, a length of 30 to 150 mm, preferably 50 to 90 mm, is satisfactory. For gynaecological use, a length of 100 mm or more, e.g. 100-200 mm, particularly 130-170 mm, is usually preferred. The outlet tube should be sufficiently rigid to allow accurate placement of the dispenser head. The refrigerants used in this invention preferably have a boiling point at atmospheric pressure of 0°C to -75°C or even lower. Suitable refrigerants are well known to those skilled in the art and include the refrigerants disclosed in U.S. Patent No. 4,865,028, including halogenated hydrocarbons (for example tetrafluoromethane, trifluoromethane, monochlorotrifluoromethane, hexafluoroethane, monobromotrifluoromethane, monochlorodifluoromethane, monochloropentafluorothane, dichlorodifluoromethane, 1,2-dichloro-1,1,2,2-tetrafluoroethane, trichloromonofluoromethane, 1,1,2-trichloro-1,2,2-trifluoromethane and 1,1-difluoroethane), propane, n-butane, isobutane, dimethyl ether and nitrogen. Dimethyl ether and said alkanes, in particular propane, are preferred for environmental reasons. Containers and valves for dispensing pressurized liquids are well known, and those skilled in the art will have no difficulty, after consideration of the disclosure in this specification, in selecting containers and valves suitable for use in this invention. The refrigerant is maintained under pressure in the container until it is dispensed. The pressure in the container is above atmospheric, but preferably not more than 12 bar, at 50°C (about 5 bar at ambient temperature). The valve which controls the release of the refrigerant from the pressurized container is preferably one which can be operated by the user's finger. The valve preferably has a relatively low flow capacity of no more than 60 ml/min, particularly no more than 30 ml/min. The assemblies of the invention can be used for cooling any surface, but are particularly useful cooling the skin of a human being or other living mammal, especially for freezing warts and the like (including for example verruca plans, molluscum contagiosum, condylomata, varruca vulgaria, varruca filliformia and varruca plantaris), so that they can be removed. An improved cooling effect can often be obtained by pressing the dispensing head intermittently against the surface, using a pressure which elastically deforms the foam, and at intervals which allow at least partial recovery of the foam between pressings. Referring now to the drawings, Figure 1 is a diagrammatic cross-section of an assembly according to the invention. In Figure 1, container 1 comprises a sealed body portion 11 and a finger-operated valve 12. Liquid refrigerant 2 is contained under pressure of its own vapor in the container 1. Feed tube 3 has a first end immersed in the refrigerant 2 and a second end communicating with the inlet of the valve 12. Outlet tube 4 has a first end communicating with the outlet of the valve 12 and a discharge end secured to a dispensing head 5 which comprises a shaped member 51 composed of an open celled foam. When the valve is open, as it is in Figure 1, liquid refrigerant 2 is forced through the feed tube 3, valve 12, outlet tube 4, and dispensing head 5, and evaporates within or adjacent to the foam member 51, thus cooling the head 5, the atmosphere around the head 5 and anything contacted by the head 5. As shown in Figure 1, the head 5 is pressed lightly against a wart 6 in the skin 7 of a human body. The wart is thus frozen so that it can be removed. Figures 2-6 are diagrammatic partial cross-sections of applicators of the invention which comprise an outlet tube 4 having a discharge end 41 which is surrounded by a shaped member 51 composed of an open celled foam. In Figures 4, 5 and 6, there is a space surrounding the discharge end 41 and this space is filled with cotton wool 52. In Figures 4, 5 and 6, the interior surface of the foamed member defines a proximal portion which lies between dotted lines C and D, a center portion which lies between dotted lines B and C, and a distal portion which lies between dotted lines A and B. In one specific example of an applicator as shown in Figure 4, the cotton wool had a maximum diameter of 5.25 to 5.75 mm, a length of about 14 mm, and a weight of about 0.0045 g; and the open celled foam member was composed of the Filterfoam PPI80 material referred to above and also had a weight of about 0.0045 g. The cotton wool bud was coated with 1% solution of Methocel (registered trademark; available from Dow Chemical) to help maintain its shape, before the foam member was placed over the cotton wool bud and the outlet tube and heat sealed in place.

Claims: An assembly for dispensing a liquid refrigerant, said assembly comprising 1. a container (1) which (a) includes a valve (12) having an inlet and an outlet, and (b) is sealed except for the valve (12); 2. a liquid refrigerant (2) which (a) is contained under pressure within the container (1) and (b) has a boiling point at atmospheric pressure of less than 0°C; 3. a feed tube (3) which has (a) a first end within the refrigerant (2), and (b) a second end which communicates with the inlet of the valve (12); 4. an outlet tube (4) which has (a) a first end which communicates with the outlet of the valve (12), and (b) a discharge end; 5. a dispensing head (5) which (a) comprises a shaped member (51), and (b) is secured to the discharge end (41) of the outlet tube (4) characterized by the shaped member being composed of an open celled foam and the dispensing head being secured to the discharge end so that, when the valve (12) is open, the liquid refrigerant (2) is dispensed through the open celled foam. An assembly according to claim 1 wherein the foam has a density of 10-40 kg/cm 3 and a pore size of 20-40 pores/cm, the foam has an elongation of 200 to 500 % at 20°C and the foam is composed of a polyester based polyurethane. An assembly according to claim 1 or 2, wherein the shaped foam member (51) is hollow and fits over the discharge end (41) of the outlet tube (4) so that there is a space between the discharge end (41) and the foam, at least a part of the space between the discharge end and the foam being filled by a permeable solid material (52) such as cotton wool. An assembly according to any of the preceding claims, wherein the internal surface of the shaped foam member (51) defines a cavity having a proximal end portion which is secured to the outlet tube (4), a center portion which surrounds the end portion of the outlet tube (4) and is spaced apart from the outlet tube (4), and a distal portion which extends beyond the discharge end (41) of the outlet tube (4). An assembly according to claim 6, wherein the axial length of the proximal portion is at least 0.75 D, the axial length of the center portion is 2D to 10D and the axial length of the distal portion is at least 0.4D, where D is the external diameter of the outlet tube (4). An assembly according to claim 4 or 5, wherein the axial length of the proximal portion is 2 to 12 mm, the axial length of the center portion is 3 to 10 mm, and the axial length of the distal portion is 1.5 to 8 mm. An assembly according to any of the preceding claims, wherein the space between the outlet tube (4) and the interior surface of the shaped foam member (51) has a volume of 60 to 200 mm 3 . An assembly according to any of the preceding claims, wherein the space between the outlet tube (4) and the interior surface of the shaped foam member (51) has a volume which is from 15πD 2 /4 to 40πD 2 /4 mm 3 , where D is the external diameter of the outlet tube (4) in mm. An assembly according to claim 7, wherein the wall thickness of the shaped foam member (51) is 3 to 4 mm. An applicator for dispensing a liquid refrigerant intended to be used in an assembly according to any of the preceding claims, said applicator comprising 1. an outlet tube (4) which has (a) a first end, and (b) a discharge end; and 2. a dispensing head (5) which (a) comprises a shaped member (51), and (b) is secured to the discharge end (41) of the outlet tube (4) characterized by the shaped member being composed of an open celled foam and the dispensing head being secured to the discharge end so that a liquid refrigerant supplied under pressure to the first end of the outlet tube (4) is dispensed through the open celled foam.

Inventors: JENSMA KLAAS, JENSMA, KLAAS
Applicants: UTERMOEHLEN NV, KONINKLIJKE UTERMOEHLEN N.V.
Application year: 1994
Main classification: A61B17
IPC codes: A61F7, A61B17, A61B18, F25D3